Urology Coding Alert

Question: How should I report a laparoscopic vasectomy? I know there is no exact code, but I cannot figure out which unlisted code to use.

South Carolina Subscriber

Answer: You should report 55559 (Unlisted laparoscopy procedure, spermatic cord) for a laparoscopic vasectomy. Link V25.2 (Encounter for contraceptive management; sterilization, admission for interruption of ...vas deferens) to the vasectomy procedure.

Benchmark your payment for 55559 to 55250 (Vasectomy, unilateral or bilateral [separate procedure], including postoperative semen examination[s]).

Pointer: You should report 55559 just once per patient regardless of whether the urologist performs the procedure on one or both sides. The urologist usually, but not always, performs the procedure bilaterally by cutting the vas deferens and suturing the ends. Even if your urologist only cuts and sutures one side (for a patient having only one testicle), don't change your coding.

Note: The code also includes the local or regional anesthesia administered by the urologist. Therefore, do not code separately for any local anesthesia administered.